Keith A. Moss, M.D., Sc in Bourbonnais - Internal Medicine
Keith A. Moss, M.D., Sc - NPI 1154520112
Keith A. Moss, M.D., Sc is a Internal Medicine in Bourbonnais, Illinois. Keith A. Moss, M.D., Sc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Keith A. Moss, M.D., Sc is 1154520112. The last update date is 2008-05-28.
Keith A. Moss, M.D., Sc's current location address is 300 Riverside Dr, Bourbonnais, Illinois. You can contact this provider via phone number 8159352784 and fax number 8159355687. The mailing address for Keith A. Moss, M.D., Sc is 300 Riverside Dr, Bourbonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith A. Moss, M.D., Sc |
|---|---|
| Address | 300 Riverside Dr, Bourbonnais, Illinois |
| Phone Number | 8159352784 |
| Fax Number | 8159355687 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Moss A. Keith |
| Credentials | M.D. |
| Telephone Number | 8159352784 |
NPI Number Detail
| NPI Number | 1154520112 |
|---|---|
| Provider Enumeration Date | 2007-07-11 |
| Last Updated Date | 2008-05-28 |
Provider Mailing Address Detail
| Address | 300 Riverside Dr |
|---|---|
| City | Bourbonnais |
| State | Illinois (IL) |
| Post Code | 609144996 |
| Phone Number | 8159352784 |
| Fax Number | 8159355687 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36105851 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36105851 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Keith A. Moss, M.D., Sc by the Centers for Medicare & Medicaid Services (CMS)?
The Keith A. Moss, M.D., Sc has been assigned the NPI (National Provider Identifier) 1154520112. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Keith A. Moss, M.D., Sc is physically located?
The Keith A. Moss, M.D., Sc is physically situated at the following address: 300 Riverside Dr, Bourbonnais, IL, 609144996.
What is Keith A. Moss, M.D., Sc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith A. Moss, M.D., Sc is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
When was the Keith A. Moss, M.D., Sc's 1154520112 issued?
The Keith A. Moss, M.D., Sc's 1154520112 was issued on 2007-07-11.
When was the Keith A. Moss, M.D., Sc's information last updated?
The Keith A. Moss, M.D., Sc's information was last updated on 2008-05-28.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL